Organization
ELYSIUM AESTHETICS AND VEIN CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SINGH MD (OWNER)
(518) 852-8114
Entity
Organization
Contact information
Practice address
400 STATE ROUTE 17, RIDGEWOOD, NJ 07450
(518) 852-8114
(866) 339-2822
Mailing address
184 BEECHWOOD RD, ORADELL, NJ 07649
(518) 852-8114
(866) 339-2822
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA08769000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242039
—
NJ
Enumeration date
03/30/2016
Last updated
06/03/2016
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